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Maximizing Hazard Mitigation Grant Funds for Post February 22, 2018 Irma Recovery Maximizing Hazard Mitigation Grant Funds for Post Irma Recovery Florida Hospital Association Thursday, February 22, 2018 1 WELCOME! Thanks for joining us! 2

  1. Maximizing Hazard Mitigation Grant Funds for Post February 22, 2018 Irma Recovery Maximizing Hazard Mitigation Grant Funds for Post Irma Recovery Florida Hospital Association Thursday, February 22, 2018 1 WELCOME! Thanks for joining us! 2 Florida Hospital Association 1

  2. Maximizing Hazard Mitigation Grant Funds for Post February 22, 2018 Irma Recovery Thanks to our Speakers 3 Objectives • Understand the two grant programs managed by the Federal Emergency Management Agency and the State of Florida that assist hospitals in mitigating against future damages. • Describe how hospitals may access funding through local mitigation strategies managed by county emergency management agencies. • Understand the technical assistance needed to apply for mitigation grant funds. 4 Florida Hospital Association 2

  3. Maximizing Hazard Mitigation Grant Funds for Post February 22, 2018 Irma Recovery Why Are We Here? 5 IRMA KATIA JOSE 6 Florida Hospital Association 3

  4. Maximizing Hazard Mitigation Grant Funds for Post February 22, 2018 Irma Recovery Insurance | Risk Management | Employee Benefits | Financial Services 7 A Dilemma • 11 year hiatus in significant tropical storm activity – Hermine and Matthew (2016) – Harvey, Irma and Maria (2017) – 2018? 8 Florida Hospital Association 4

  5. Maximizing Hazard Mitigation Grant Funds for Post February 22, 2018 Irma Recovery 9 10 Florida Hospital Association 5

  6. Maximizing Hazard Mitigation Grant Funds for Post February 22, 2018 Irma Recovery 11 IRMA – a Flood Event! Insurance | Risk Management | Employee Benefits | Financial Services 12 Florida Hospital Association 6

  7. Maximizing Hazard Mitigation Grant Funds for Post February 22, 2018 Irma Recovery 13 14 Florida Hospital Association 7

  8. Maximizing Hazard Mitigation Grant Funds for Post February 22, 2018 Irma Recovery FHA Role in Response • Support agency to the State Emergency Response Team through ESF8 – Coordinate hospital response activities – Communicate important information – Advocate for issues impacting hospitals 15 2016- 17 Lessons Learned • Needs improvement – • Successes – – Non-acute provider – Response preparedness leadership – Utility restoration – Life Safety priority – Community – At-risk population support support – Unmet needs met – Community w/o difficulty preparedness 16 Florida Hospital Association 8

  9. Maximizing Hazard Mitigation Grant Funds for Post February 22, 2018 Irma Recovery Lessons Learned: Mitigation and Recovery • Understanding the process for recovery assistance is complex. • Document, document, document! • Mitigation funds are under-utilized by hospitals. • Mitigation and recovery is a slow process. 17 Maximizing Hazard Mitigation Grant Funds for Post Irma Recovery • Shanti Smith- Copeland, CEM, FPEM • Rick Patterson, CFM • Kelly George, CFM 18 Florida Hospital Association 9

  10. Maximizing Hazard Mitigation Grant Funds for Post February 22, 2018 Irma Recovery FEMA PUBLIC FEMA PUBLIC ASSIST ASSISTANCE ANCE 19 Public Assistance Basics Cost Work Facility Applicant 20 Florida Hospital Association 10

  11. Maximizing Hazard Mitigation Grant Funds for Post February 22, 2018 Irma Recovery Public Assistance Basics • Applicant Eligibility • Must be a governmental entity • Private Non-Profit providing essential governmental service, such as schools and hospitals • Damages must be the legal responsibility of the applicant to repair 21 Public Assistance Basics • Facility is defined as: • Any building, works, system, or equipment • Any improved or maintained natural feature 22 Florida Hospital Association 11

  12. Maximizing Hazard Mitigation Grant Funds for Post February 22, 2018 Irma Recovery Public Assistance Basics • Work • Must be a direct result of disaster • Located within the disaster area • Legal responsibility of applicant 23 Public Assistance Basics • Codes and Standards • Apply to the repair work • Be appropriate to pre-disaster use • Be formally adopted • Apply uniformly to all such facilities • Be enforced 24 Florida Hospital Association 12

  13. Maximizing Hazard Mitigation Grant Funds for Post February 22, 2018 Irma Recovery Public Assistance Basics • Costs – to be eligible costs must: • Be reasonable and necessary • Comply with standards of procurement • Exclude credits • Insurance • Salvage 25 Public Assistance Basics • Emergency Work • Category A - Debris Removal • Category B - Emergency Protective Measures 26 Florida Hospital Association 13

  14. Maximizing Hazard Mitigation Grant Funds for Post February 22, 2018 Irma Recovery Public Assistance Basics • Permanent Work Categories • C - Roads and Bridges • D - Water Control Facilities • E - Buildings and Equipment • F - Utilities • G - Parks and Others 27 Public Assistance Basics • Category E - Buildings and Equipment • Buildings, schools, hospitals, etc • Building contents and systems • Equipment • Vehicles 28 Florida Hospital Association 14

  15. Maximizing Hazard Mitigation Grant Funds for Post February 22, 2018 Irma Recovery Public Assistance Basics • Category E – Buildings and Equipment • Pay special attention to: • Insurance • Floodplain management • Codes and Standards • Depreciation 29 The Project Worksheet … 30 Florida Hospital Association 15

  16. Maximizing Hazard Mitigation Grant Funds for Post February 22, 2018 Irma Recovery Sandy Recovery Improvement Act On January 29, 2013, President Obama signed into law the Sandy Recovery Improvement Act of 2013 (P.L. 113-2). The law authorizes several significant changes to the way FEMA may deliver disaster assistance to both individuals and public assistance applicants. The law authorizes several significant changes to the way FEMA may deliver disaster assistance to both individuals and public assistance applicants. 31 Sandy Recovery Improvement Act Permanent Work Alternative Procedures: • Permits permanent work grants to be based on capped estimates, with applicants accepting responsibility for any actual costs above the estimate. • Allows applicants to use excess funds for activities that reduce risk in future disasters and other activities to improve future PA operations. • Permits applicants to consolidate multiple permanent work projects. • Eliminates the penalty for alternate projects based on estimates. • Permits FEMA to accept the mutually agreed upon certified cost estimates prepared by applicants’ licensed engineers. • Applicants may request to utilize a FEMA-funded, independent validation of project estimates for permanent repair projects with an estimated federal share of at least $5 million. 32 Florida Hospital Association 16

  17. Maximizing Hazard Mitigation Grant Funds for Post February 22, 2018 Irma Recovery New Public Assistance Delivery Model • Segmenting projects based on complexity and the type of work; • Standardizing workflow processes, including the development of an on-line PA Grants Manager and Grants Portal technology platform to promote consistency, transparency and accountability; • Specializing staff roles and responsibilities, matching skill sets with business process requirements to ensure quality; and • Consolidating subject matter experts in Consolidated Resource Centers (CRC) to improve consistency and accuracy while building agency-wide capacity to support disaster operations nationwide. 33 Project Description Cost Scope of Work Damage Description 34 Florida Hospital Association 17

  18. Maximizing Hazard Mitigation Grant Funds for Post February 22, 2018 Irma Recovery 406 Hazard Mitigation The mission of the 406 Hazard Mitigation Grant Program is to consider funding additional measures, not required by applicable codes and standards , that will enhance the ability of an eligible damaged element to resist similar damage in future, similar, declared events. 35 406 Hazard Mitigation • Permanent Work • (Cat C through G) • (Cat A & B dollars can be used for the HMP) • Related to a damaged element • Reduce or eliminate the threat of future damage to the damaged element • Be cost effective 36 Florida Hospital Association 18

  19. Maximizing Hazard Mitigation Grant Funds for Post February 22, 2018 Irma Recovery 406 Hazard Mitigation Damaged elements are building or components Electrical panels MEP Contents may be the damaged element Window AC Unit Roof Interior surfaces Damage caused by loss of environment controls 37 Examples of Successful FEMA HMP 38 Florida Hospital Association 19

  20. Maximizing Hazard Mitigation Grant Funds for Post February 22, 2018 Irma Recovery Elevate Me! Please! Oh Yea! Although it was anchored and not displaced by floodwaters, this generator was out of service Elevated utility box after being submerged. 39 University of Texas Medical Branch Hurricane Ike 2008 40 Florida Hospital Association 20

  21. Maximizing Hazard Mitigation Grant Funds for Post February 22, 2018 Irma Recovery Dry Flood Proofing Permanent watertight doors for deep water 41 NMR Dockside 42 Florida Hospital Association 21

  22. Maximizing Hazard Mitigation Grant Funds for Post February 22, 2018 Irma Recovery Floodwalls 43 Primary Care Pavilion Flood Wall 44 Florida Hospital Association 22

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